This weekend Mike and I both found out we have some decisions to make.
On Friday I took Rusty to the vet to get his nails clipped, and they found a pea-sized lump behind his elbow. The vet was available to take a look, so she drained it and told me it was just a harmless cyst. As long as she was in there she gave him a once-over, and told me that I should bring him in for a dental cleaning.
"Is that a good idea with his heart condition? I mean, I thought sedation was dangerous for cats like that," I said.
"Heart condition? Oh yes," she said, looking back in his chart. "The vet noticed an irregular heartbeat at his last appointment. Well, let's take a listen." She put her stethoscope to Rusty's chest and listened for a long while.
Basically, here's the deal. He has this irregular beating, and they don't know why. They know he wouldn't sit still for an ultrasound or an EKG, but they think they could do an echocardiogram. After the echo they might be able to treat the problem, or not. If it's treatable, then they can go ahead and do the dental work. If it's not, well...we didn't discuss it. That's Option One.
Option Two would be to go ahead with the sedation, and realize that he's ten years old and has FIV on top of the cardiac condition and the stress of having lived as a feral cat for the first part of his life, so he's been living on borrowed time for awhile now anyway. If he comes out of it, great. If he doesn't, well...we didn't discuss that much either.
Option Three would be to leave the teeth to decay at whatever rate they're going to, realizing that he'll probably wind up contracting an infection that will end his life quickly. That's sort of letting nature take it's course.
As you can see, there are no good options. Once you start adding up the monetary cost and the toll on Rusty, the options become even less attractive. I never want to get to the point where I'm putting Rusty in pain to lengthen his life for my sake, just because I can't say good-bye. Mike has told me that I should do what I think is best, and he's behind me no matter what. But it's a really tough decision. I suppose I'll proceed with the echo, but after that...who knows.
Mike's plate is full this weekend too. Today his car, a 13-year-old Mercury Sable, was having trouble starting. When we did get it started, it spewed white smoke, nearly stalled at every stoplight, and leaked something that looked like antifreeze. Mike seems ready to ditch the car, but his parents seem determined to hold on. I really hate the idea of putting more money into the car, and Mike says he'd be fine with taking the bus and his bike since he only works three miles away. However, he'll still have some decisions to make and some negotiations to do with his parents after we hear back from the mechanic.
Decisons, decisions.